<table class="answer_name">
	<tr>
		<th style='float:left; margin-left:22px;'><%=t('question.enter_opt')%></th>
	</tr>
	
	<tr>
		<td>
  			<%= check_box_tag "fields[1][is_answer]", '1', false, :class=>"validate[maxCheckbox[1]] checkbox", :style=>"margin-right: 5px;" %>
	  		<%= text_field_tag "fields[1][name]",'Yes',:readonly=>true, :class=>"validate[required,funcCall[checkHELLO]] text-input",:style=>"width:115px; height:19px; border:#d1d1d1 1px solid;" %>
		</td>
		
	</tr>
 				
	<tr>
		<td>
			<%= check_box_tag "fields[2][is_answer]", '1', false, :class=>"validate[maxCheckbox[1]] checkbox", :style=>"margin-right: 5px;" %>
	  		<%= text_field_tag "fields[2][name]",'No',:readonly=>true, :class=>"validate[required,funcCall[checkHELLO]] text-input",:style=>"width:115px; height:19px; border:#d1d1d1 1px solid;" %>
		</td>
	</tr>
</table>